Nouvelle déclaration d'incident
No de la demande: 2018-5825
Numéro de référence du titulaire d'homologation: 5969553
Nom du titulaire (nom légal complet, aucune abbréviation): Sure-Gro IP Inc.
Adresse: 1900 Minnesota Crt
Ville: Mississauga
État: Ontario
Pays: Canada
Code postal /Zip: L5N 3C9
Incident chez l'humain
Pays: CANADA
État: BRITISH COLUMBIA
ARLA No d'homologation 28353 ARLA No de la demande d'homologation EPA No d'homologation.
Nom du produit: Wilson Predator Rat & Mouse Killer Pellets
Oui
Inconnu
Site: Res. - Out Home / Rés - à l'ext.maison
Inconnu
Personne affectée
Sexe: Homme
Âge: >19 <=64 yrs / >19 <=64 ans
Système
Unknown / Inconnu
Non
Non
Non professionnel
Contact avec la zone traitée
Quelle était l'activité? entering the shed where bait was placed
Aucun
Respiratoire
<=15 min / <=15 min
<=30 min / <=30 min
08/09/18 19:46 Caller states that he was in the shed where the product was. He states that product looked like it had been eaten. He states that he may have inhaled the dust. TOE: few minutes ago Gh No Med Allergies: pollen, peanut O: a little chest tightness. slight headache. A: Acute adult inhalation exposure to Wilson Predator Rat Mouse Killer Pellets Place Packs: SX R: Ventilate indoor areas. Get plenty of fresh air If symptoms persist, inhale steam from shower. Keep hydrated If difficulty breathing, persistent cough, or prolonged symptoms occur, seek medical attention PC advised caller that he can take an OTC mediation that he would normally take for a headache. PC will cb in 1 hour for follow up. 08/09/18 20:54 b to (name) to see how he is doing after his exposure. Caller states that his chest still hurts. He states that he did the steam. Caller also states that his chest hurts when he stand up and walks around, when sitting it doesn't hurt that much. O: chest hurts headache better. A: Acute adult inhalation exposure to Wilson Predator Rat Mouse Killer Pellets Place Packs: SX R: PC advised caller to seek medical attention due to sxs. PC will cb tomorrow for follow up. 08/10/18 09:36 CB performed to number provided. Caller states he did not go to a physician. He repeated steam inhalation and states his SX resolved on their own. O: ASX A: Acute adult inhalation Wilson Predator Rat Mouse Killer Pellets Place Packs ASX R: Call back with questions/concerns.
Mineure
The information contained in this report is based on self-reported statements provided to the registrant during telephone Interview(s). These self-reported descriptions of an incident have not been independently verified to be factually correct or complete descriptions of the incident. For that reason, information contained in this report does not and can not form the basis for a determination of whether the reported clinical effects are causally related to exposure to the product identified.